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General Orthopaedics

THREE YEARS FOLLOW-UP OF KINEMATIC ALIGNMENT OF TOTAL KNEE ARTHROPLASTY

The International Society for Technology in Arthroplasty (ISTA), 28th Annual Congress, 2015. PART 3.



Abstract

Introduction

Most surgeons that have performed kinematically aligned TKA have noticed an overall better clinical outcome, better motion, better patient satisfaction, and a quicker recovery than their patients treated with mechanically aligned TKA.

Materials and Methods

We prospectively followed all 128 knees who underwent primary total knee arthroplasty. The Lysholm knee score and VAS scale was recorded initially and 12months after the surgery. Independent T-test was used for statistical analysis at probability level of 95%. SPSS for Windows (Version 12, Chicago, Illinois) was used.

Results

VAS score and passive ROM; Not significant difference statistically. But improved compared the preoperative and postoperative data. WOMAC score and HSS score; Significantly improved statistically

Discussion

Our data suggest that kinematic alignment may lessen the surgical stress experienced by the patient, reduce the pain, and increase function of knee. There is a need for more studies to clarify benefits of kinematic alignment technique. Kinematically aligned TKA restores function by aligning the femoral and tibial components to the normal or prearthritic joint lines of the knee. We prospectively followed all 128 knees who underwent total knee arthroplasty. We assessed postoperative function using the VAS, WOMAC, HSS score and passive ROM. HSS score and WOMAC score were significantly improved statistically.


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